TY - JOUR
T1 - Use of a Water Filter at Home Reduces Sugary Drink Consumption among Parents and Infants/Toddlers in a Predominantly Hispanic Community
T2 - Results from the Water Up!@ Home Intervention Trial
AU - Reese, Amanda C.
AU - Burgos-Gil, Rosalina
AU - Cleary, Sean D.
AU - Lora, Karina
AU - Rivera, Ivonne
AU - Gittelsohn, Joel
AU - Seper, Sara
AU - Monge-Rojas, Rafael
AU - Colón-Ramos, Uriyoán
N1 - Funding Information:
FUNDING/SUPPORT This study was supported by the National Institute of Diabetes and Digestive and Kidney Diseases (grant No. R21DK119749 ) and by the Redstone Global Center for Prevention and Wellness at the George Washington University.
Publisher Copyright:
© 2023 Academy of Nutrition and Dietetics
PY - 2023/1
Y1 - 2023/1
N2 - Background: Water is recommended as an alternative for sugar-sweetened beverages (SSBs). Low-income, minority groups in the United States continue to exhibit high SSB and low water consumption, and are more likely to exceed 100% fruit juice recommendations. Objective: To test the effects of a home-based intervention designed to replace SSBs with tap water and reduce excess juice consumption among parents and their infants/toddlers. Design: Randomized controlled trial. Participants: Parents (n = 92) of infants/toddlers who participated in three Early Head Start home-visiting programs that serve predominantly Hispanic, low-income communities during 2019-2021. Intervention: The 12-week intervention (Water Up!@Home) simultaneously addressed physical barriers to tap water consumption (via a water filter) and sociocultural barriers to replacing SSBs and juice with water (via a curriculum). Comparison group received a water filter only. We hypothesized that the intervention would lead to a reduction of 6 fl oz/d in SSB and juice consumption. Main outcomes: Parent-reported self and infant/toddler SSBs, water (filtered, tap, or bottled), and 100% fruit juice consumption. Statistical analyses: Analysis of covariance to compare changes in consumption between experimental groups was performed. We also conducted t tests to assess changes within groups. Results: Participants in both groups reported significant reductions in SSBs from baseline (parents: intervention [–11.2 fl oz/d; P < 0.01]; comparison [–8.0 fl oz/d; P < 0.01]; children: intervention [–1.50 fl oz/d; P = 0.03]; comparison [–1.56 fl oz/d; P = 0.02]), increased water consumption (parents in both groups [+5.6 fl oz/d]; children: intervention [+3.61 fl oz/d; P = 0.01], comparison [+2.24 fl oz/d; P = 0.05]), mostly from filtered tap water. Differences between groups were not statistically significant. Intervention participants reported significant reductions in 100% fruit juice vs comparison (parents: –3.6 fl oz/d vs –1.0 fl oz/d; P < 0.01; children: –0.73 fl oz/d vs +0.48 fl oz/d; P =.03). Conclusions: The intervention effectively reduced 100% fruit juice consumption. Water security should be examined as a contributor to SSB consumption in this population.
AB - Background: Water is recommended as an alternative for sugar-sweetened beverages (SSBs). Low-income, minority groups in the United States continue to exhibit high SSB and low water consumption, and are more likely to exceed 100% fruit juice recommendations. Objective: To test the effects of a home-based intervention designed to replace SSBs with tap water and reduce excess juice consumption among parents and their infants/toddlers. Design: Randomized controlled trial. Participants: Parents (n = 92) of infants/toddlers who participated in three Early Head Start home-visiting programs that serve predominantly Hispanic, low-income communities during 2019-2021. Intervention: The 12-week intervention (Water Up!@Home) simultaneously addressed physical barriers to tap water consumption (via a water filter) and sociocultural barriers to replacing SSBs and juice with water (via a curriculum). Comparison group received a water filter only. We hypothesized that the intervention would lead to a reduction of 6 fl oz/d in SSB and juice consumption. Main outcomes: Parent-reported self and infant/toddler SSBs, water (filtered, tap, or bottled), and 100% fruit juice consumption. Statistical analyses: Analysis of covariance to compare changes in consumption between experimental groups was performed. We also conducted t tests to assess changes within groups. Results: Participants in both groups reported significant reductions in SSBs from baseline (parents: intervention [–11.2 fl oz/d; P < 0.01]; comparison [–8.0 fl oz/d; P < 0.01]; children: intervention [–1.50 fl oz/d; P = 0.03]; comparison [–1.56 fl oz/d; P = 0.02]), increased water consumption (parents in both groups [+5.6 fl oz/d]; children: intervention [+3.61 fl oz/d; P = 0.01], comparison [+2.24 fl oz/d; P = 0.05]), mostly from filtered tap water. Differences between groups were not statistically significant. Intervention participants reported significant reductions in 100% fruit juice vs comparison (parents: –3.6 fl oz/d vs –1.0 fl oz/d; P < 0.01; children: –0.73 fl oz/d vs +0.48 fl oz/d; P =.03). Conclusions: The intervention effectively reduced 100% fruit juice consumption. Water security should be examined as a contributor to SSB consumption in this population.
KW - 100% Fruit juice
KW - Intervention
KW - Latinos/Hispanics
KW - Sugar-sweetened beverages
KW - Tap water
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U2 - 10.1016/j.jand.2022.06.006
DO - 10.1016/j.jand.2022.06.006
M3 - Article
C2 - 35714910
AN - SCOPUS:85134749796
SN - 2212-2672
VL - 123
SP - 41
EP - 51
JO - Journal of the Academy of Nutrition and Dietetics
JF - Journal of the Academy of Nutrition and Dietetics
IS - 1
ER -